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careful riskbenefit assessment is warranted Those with pre-existing gallbladder disease : Rapid weight loss can precipitate gallstone formation or worsen existing biliary conditions People with severe gastrointestinal disease, including gastroparesis : GLP-1 receptor agonists slow gastric emptying, which may worsen symptoms in those with pre-existing gastric motility disorders Older adults : Age-related changes in renal and hepatic function may affect drug metabolism and increase sensitivity to side effects

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(37938118) For patients without central access, IV D10W is used, but this may require an insane volume of fluid

But when he read two books about the country The Aquariums of Pyongyang , a memoir by Kang Chol-hwan, and David Hawks The Hidden Gulag they piqued his interest